Beverly Hills, CA · Los Angeles County

No notary required

Administrative Hearing Request

Use this form to contest a Beverly Hills administrative citation and, if needed, request a hardship waiver of the advance fine deposit.

What this form is

This form lets a person contest an administrative citation by requesting a hearing before a Hearing Officer. The hearing request must be filed within 20 days of the citation date, with the fine deposited or a hardship-waiver request made. It asks for contact and citation details and the reason for contesting; the optional waiver section asks for a declaration and supporting income documents.

Who needs it

A person who wants to contest a Beverly Hills administrative citation may file this form and can request a hardship waiver if unable to deposit the fine.

How to submit it

Mail or deliver the request to the Community Development Department – Code Enforcement, 455 N. Rexford Drive, First Floor, Beverly Hills, California 90210, within 20 days of the citation date. Include the advance deposit or a hardship-waiver request; waiver requests require supporting income documents.

About notarization

This form is signed without a notary; the request includes declarations under penalty of perjury, and a hardship-waiver request requires supporting income documents.

How to submit this form

  1. 1

    Download The Form

    Download the Administrative Hearing Request form.

  2. 2

    Complete The Request

    Enter the citation details, contact information, and reasons for contesting the citation; sign and date the declaration.

  3. 3

    Gather Required Documents

    Include the fine deposit or hardship-waiver request. For a waiver, attach copies of documents verifying income sources.

  4. 4

    Submit To The City

    Mail or deliver the request to Community Development Department – Code Enforcement within 20 days of the citation date.

Frequently asked questions

Do I need a notary for the Administrative Hearing Request?
No. The form has no notary block. It includes declarations under penalty of perjury, and a hardship-waiver request requires supporting income documents.
How do I submit the Administrative Hearing Request?
Mail or deliver it to the Community Development Department – Code Enforcement at 455 N. Rexford Drive, First Floor, Beverly Hills, California 90210. File within 20 days of the citation date.
What must accompany a hearing request?
Include an advance deposit of the fine or notice that you have requested an Advance Deposit Hardship Waiver. A waiver request must include documents verifying income sources.
What information does the form ask for?
It asks for the case and citation numbers, your name and contact details, and the reason you contest the citation. The optional waiver section requests a declaration and income documentation.

Need something notarized?

This Administrative Hearing Request doesn’t need a notary — but if you have another Beverly Hills form that does, a commissioned online notary can help.